It's no spectacular thing
that or you you're a spectacular thing ya right well thanks for joining us I have Michael here and we
have a spot that we have to take off because why is it needed to be taken off
tell us well it's been there a long time and I don't think it belongs don't think
it belongs and we think that because there's a little skin tag right next to
it and it's different from that one it's really irritated and it's red
well it gets inflamed from time to time but most of the time it's totally
asymptomatic okay well because that abnormal behavior we'll go ahead and
take it off send it off for biopsy it's probably just a seborrheic keratosis or
skin tag but when they get irritated like that we like to just make sure we
also have this skin tag here which although it's pigmented and it's been
there for a very long time with no changes and doesn't have more than one
color there's not really significant color variation and the edges around the
base aren't terribly irregular so we'll probably leave that alone because it's
just a pigmented skin tag rather than something concerning well I wanted to
tell you that there's a shortage of lidocaine with epinephrine uh-huh you're
kidding no not really we have lidocaine uh we don't lidocaine
with epi ah you know what has slight vasoconstrictive properties is carbacaine
oh really by itself yeah and give you a llittle injection here well cocaine
would too but I've never seen it used in this form oh yeah the guy I took
overt my practice from was a older gentleman
he didn't use aspirating syringes when he gave anesthetic and he had
patients react you know because I'm oh he do is injected intravascular and then
they he would tell them that they were allergic to the epi of course you can't be
you make it yourself so our viewers are gonna wonder what you were doing what
your your profession was Oh I was dentist but I did a lot of surgical yeah
stuff yeah
so what's your most interesting case that you remember from practice
well it's Lady come in when I was in private practice there's lots of stories
from when I was working at the county hospital but I had a lady come in she
had a lesion up in the reflex her mouth you know between the cheek and gums as it
were and there's a strange-looking thing and she said she'd had it biopsied at
Fort Ord and so I tried to find out you know I called forward and of course yeah
why nothing you know it was there was no the records got lost or who knows but so
I bought something biopsied it and it turned out to be a incredibly rare
lesion it was only the third one ever reported in the medical literature in
fact I had her back and talked to her and and told her you know I can't tell
you what to do about this thing but I can tell you what I would do is it
doesn't belong in there yeah so get it get it the heck out of there you know
and so I referred her to a surgeon because it was pretty large lesion it
looked to me it had a grayish tint and it was kind of wrinkly it looked like
elephants hide to me yeah
oh yeah you mustn't put a blemish in the want to see it sure why not it looks like a burn yeah yeah
that's that powder we put on it so it's this will just heal up very nicely oops
you know it's a good thing you got clumsy after you were done that's that's the order you
do it in first you do the procedure then you get clumsy you did instill confidence in
your patient I'm glad it's you not somebody else
well I won't make any comment about where I find you after hours yeah
we go to take a trip down to Roseville now and again
yeah although those microbrews all over the place you look like you're having a good
evening yeah we had fun yeah yeah all right well thanks for letting us do this but my
thought is it's gonna turn out to be a benign lesion if it were to be you know
an early squamous cell unlikely basal cell then we'd have to take out more
around it the margins it won't be a problem it sure it didn't look like a basal cell no it's not going to solve it yeah I'm sure
well that's I wanted you to get it out of there
to be sure the only way to know for sure is biopsy yeah yeah we're generous on the biopsies
yeah that sounds like you were in yeah when in doubt take it out you know what I about
politics If in doubt vote it out
I've heard that use for a lot my dad used to
thanks for joining us Mike thanks so much for being on the video and sure
sure until next time Mike dr. mark vaughan telling
you to stay in good health